Da 7653-2026

1. Click ‘Get Form’ to open the da 7653 in the editor.
2. Begin by filling in your personal information in the designated fields: NAME (Last, first, middle), RANK, DATE (YYYYMMDD), and UNIT MAILING ADDRESS. Ensure accuracy as this information is crucial for identification.
3. Next, provide your UNIT PHONE NUMBER and AOC. This helps maintain communication regarding your clinical competencies.
4. For the RN Clinical Supervisor section, ensure that they accurately assess and initial each competency activity listed under various categories such as Cardiovascular/Hemodynamic and Respiratory/Pulmonary. They should also include the date of assessment.
5. Finally, have your supervisor sign and date the form to verify your competencies. If applicable, include contact details for civilian employers who performed skills verification.

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